Individual
DR. DIANA SHALAMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
OD
Contact information
Practice address
10834 66TH RD, FOREST HILLS, NY 11375-2239
(718) 268-4826
Mailing address
10834 66TH RD, FOREST HILLS, NY 11375-2239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011249
NY
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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